Doctor Name: | MS. SARA BETH BOBBITT |
NPI Number: | 1437479748 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 2010016635 |
Business Practice Address: | 330 N Gore Ave Webster Groves, MO - 631191600 |
Business Phone Number: | 3149682060 |
Business Fax Number: | |
Mailing Address: | 406 Lantana Ln, SAINT PETERS |
State: | MO |
Postal Code: | 633765307 |
Phone Number: | 6364854540 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2010 |
NPI Last Update Date: | 06/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2010016635 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |